[Factors involved in noncompliance with drug treatment in non-insulin dependent diabetes mellitus].
OBJECTIVE
To find the level of non-compliance with treatment with oral hypoglycemics, its causes and the profile of non-compliant patients.


METHODS
Prospective study.


METHODS
Primary Care Centres in the province of Alicante.


METHODS
107 diabetics not dependent on insulin on the lists of five General Medicine practices and all receiving pharmacological treatment.


RESULTS
The method used to value compliance was a surprise count of pills in the patient's home. Patients achieving 80-110% compliance were considered compliant. The level of non-compliance was 51.5% (C.I. 42.1%-61%), 36.5% being hypocompliers and 15% hypercompliers. Forgetting (40.7%) and lack of knowledge (29.5%) were the most frequent reasons for non-compliance. The factors associated with non-compliance were: over four years evolution of the disease (p = 0.02), the diet not properly observed (p = 0.03), over a year in regular treatment (p = 0.006), poor control of the disease valued by HbA1C (p = 0.003).


CONCLUSIONS
A high level of non-compliance with pharmacological treatment was found for patients with Diabetes Mellitus not dependent on insulin. Its causes were identified and factors associated with poor compliance were profiled.
Piñeiro
F
F
Departamento de Medicina, Universidad de Alicante.
Gil
V
V
Donis
M
M
Torres
M T
MT
Orozco
D
D
Merino
J
J
D000368:Aged; D003627:Data Interpretation, Statistical; D003924:Diabetes Mellitus, Type 2 / Q000188:drug therapy*; D003927:Diet, Diabetic; D005260:Female; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D011320:Primary Health Care; D011446:Prospective Studies; D013997:Time Factors; D016312:Treatment Refusal
D007004:Hypoglycemic Agents
Factores implicados en el incumplimiento del tratamiento farmacológico en la diabetes no insulinodependiente.